Amanda Matje Pa-C Pllc

LBN: Amanda Matje Pa-C Pllc
Amanda Matje Pa-C Pllc is an health care organization with primary practice located at 7600 N 15Th St , Phoenix AZ 85020-4327. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as the primary health care specialty. Amanda Matje Pa-C Pllc can be contacted via phone (602) 395-0718, or through Koziol, Vanessa via phone (480) 376-6456.

Contact Information

Primary practice address
7600 N 15Th St Phoenix AZ 85020-4327
Phone: (602) 395-0718
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koziol, Vanessa
Phone: (480) 376-6456

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1962148791
LBN Legal business name Amanda Matje Pa-C Pllc
DBA Doing business as
Authorized official Koziol, Vanessa
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2022
Last updated May 5th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962148791 NPPES
Arizona Other PEND PEND

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